Organization · Type 2 NPI
Black Canyon Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Black Canyon City, AZ
NPI number
1992438642
Active
Practice location
19251 E Oasis Dr
Black Canyon City, AZ 85324-8878
Fax (623) 374-5576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
6 other providers at this address
- Black Canyon Community Health Center, Inc.Family Medicine Physician Black Canyon City, AZ NPI 1679723217
- Preventative Dental Care PLLCDental Clinic/Center Black Canyon City, AZ NPI 1033690169
- Radiant Dental LLCGeneral Practice Dentistry Black Canyon City, AZ NPI 1720748049
- Andrea Kay Irving, DOGeneral Practice Physician Black Canyon City, AZ NPI 1780858878
- Matthew Lynn McElroy, PA-CFamily Medicine Physician Black Canyon City, AZ NPI 1225685118
- Randy Charles Hancock, DOFamily Medicine Physician Black Canyon City, AZ NPI 1467432971
About NPI 1992438642
Black Canyon Community Health Center, Inc.'s National Provider Identifier is 1992438642, issued on Jul 8, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Black Canyon City, AZ. The record was last updated on Sep 23, 2026.